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General NPI Number Information
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NPI Number | 1538697149
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Entity Type | Individual
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Provider Name | KATE LIEBERMAN PHD
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Gender | Female
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Dates
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Enumeration Date | 05/25/2017
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Last Update Date | 12/07/2023
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Provider Practice Location Address
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Address Line | 910 17TH ST NW STE 412
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City | WASHINGTON
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State | DC
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Zip | 20006-2601
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Country | US
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Telephone | 202-499-4000
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Fax | 703-827-1919
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Provider Business Mailing Address
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Address Line | 220 S WASHINGTON ST STE 103
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City | ALEXANDRIA
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State | VA
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Zip | 22314-3626
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Country | US
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Telephone | 703-827-1900
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 025639
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 200001535
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 0810006357
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License Number State | VA
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